• Original Research Articles

    Design and validation of two scales of sexual communication with the partner in men who have sex with men

    Vol. 17 No. 2 (2021)
    Published: 2021-11-03
    Ricardo Sánchez Medina
    David Javier Enríquez Negrete
    Consuelo Rubi Rosales Piña
    Pablo Uriel Pérez Martínez

    Aim: Design and validate two scales of sexual communication with the partner in men who have sex with men, which together evaluate five components of communication, content, extension, style, time and context.

    Methodology: It was divided into two phases, the first to develop the items that make up each scale, and the second to obtain their psychometric properties. 200 men participated in the first phase and 1,190 men participated in the second phase, in both cases with an active sexual life, single and who reported having sex with men, half of them diagnosed with HIV and whose route of infection was through sexual contact. The strategy of modified natural semantic networks was applied to obtain the main ones defined for the stimuli: sexual themes and sexual communication with the partner, based on the results, the items were designed to form two scales. In both phases, the application was carried out in a clinic specialized in the care of people with HIV.

    Results: The results of the validation show evidence of construct validity and concurrent validity, as well as the internal reliability of each scale showing adequate psychometric properties.

    Conclusions: It is necessary to evaluate communication considering all its components, for which culturally valid instruments such as the scales presented in this research are required.

    Keywords: Array, Array, Array, Array

    How to Cite

    Sánchez Medina, R., Enríquez Negrete, D. J., Rosales Piña, C. R., & Pérez Martínez, P. U. (2021). Design and validation of two scales of sexual communication with the partner in men who have sex with men. Pensando Psicología, 17(2), 1-31. https://doi.org/10.16925/2382-3984.2021.02.01

    Aholou, T., Nanin, J., Drumhiller, K., & Sutton, M. (2017). Opportunities for HIV prevention communication during sexual encounters with black men who have sex with men. AIDS Patient Care and STDs, 31(1), 33-40. http://doi.org/10.1089/apc.2016.0220

    Ali, M. S., Tesfaye Tegegne, E., Kassa Tesemma, M., & Tesfaye Tegegne, K. (2019). Consistent condom use and associated factors among HIV-positive clients on antiretroviral therapy in North West Ethiopian Health Center, 2016 GC. AIDS Research and Treatment, 2019, 1-10. https://doi.org/10.1155/2019/7134908

    Altice, F., Evuarherhe, O., Shina, S., Carter, G., & Beaubrun, A. C. (2019). Adherence to HIV treatment regimens: systematic literature review and meta-analysis. Patient Preference & Adherence, 13, 475-490. https://doi.org/10.2147/PPA.S192735

    Álvarez, C., & Villaruel, A. (2015). Association of gender norms, relationship and intrapersonal variables, and acculturation with sexual communication among young adult latinos. Research in Nursing & Health, 38(2), 121-132. https://doi.org/10.1002/nur.21645

    Anderson, A., Rosen, N., Price, L., & Bergeron, S. (2016). Associations between penetration cognitions, genital pain, and sexual well-being in women with provoked vestibulodynia. The Journal of Sexual Medicine, 13, 444-452. https://doi.org/10.1016/j.jsxm.2015.12.024

    Araujo-Robles, E., Ucedo-Silva, V., & Bueno-Cuadra, R. (2018). Validación de la Escala de Comunicación Padres-Adolescentes en jóvenes universitarios de Lima. Revista Digital de Investigación y Docencia Universitaria, 12(1), 253-272. https://doi.org/10.19083/ridu.12.560

    Blunt-Vinti, H., Jozkowki, K., & Hunt, M. (2019). Show or tell? Does verbal and/or nonverbal sexual communication matter for sexual satisfaction? Journal of Sex & Martital Therapy, 45 (3), 206-217. https://doi.org/10.1080/0092623X.2018.1501446

    Brooks, H., Llewellyn, C. D., Nadarzynski, T., Pelloso, F. C., De Souza Guilherme, F., Pollard, A., & Jones, C. J. (2018). Sexual orientation disclosure in health care: a systematic review. British Journal of General Practice, 68(668), 187-196. https://doi.org/10.3399/bjgp18X694841

    Carrascosa, L., Cava, M., & Buelga, S. (2015). Actitudes hacia la autoridad, y violencia entre adolescentes: diferencias en función del sexo. Suma Psicología, 22, 102-109. https://doi.org/10.1016/j.sumpsi.2015.08.003

    Cox, M. F., Fasolino, T. K., & Tavakoli, A. S. (2008). Factor analysis and psychometric properties of the Mother-Adolescent Sexual

    Communication (MASC) instrument for sexual risk behavior. Journal of Nursing Measurement, 16(3), 171-183. https://doi.org/10.1891/1061-3749.16.3.171

    Darden, M.C., Ehman, A.C., Lair, E.C., & Gross, A.M. (2019). Sexual compliance: examining the relationships among sexual want, sexual consent, and sexual assertiveness. Sexuality & Culture, 23, 220–235. https://doi.org/10.1007/s12119-018-9551-1

    Dharma, C., Scheim, A.I. & Bauer, G.R. (2019). Exploratory factor analysis of two sexual health scales for transgender people: trans-specific condom/barrier negotiation self-efficacy (T-Barrier) and trans-specific sexual body image worries (T-Worries). Archives of Sexual Behavior, 48, 1563-1572. https://doi.org/10.1007/s10508-018-1383-4

    DiClemente, R. & Wingood, G. (1995). A randomized controlled trial of an hiv sexual risk reduction intervention for young african-american women. Journal of the American Medical Association, 274(16), 1271-1276.

    Dimbuene, Z. (2015). Families’ Response to AIDS: New insights into parental role in fostering HIV/AIDS Knowledge. Journal of Biosocial Science, 47, 762-779. https://doi.org/10.1017/S0021932014000406

    Dixson, M. D. (1995). Models and perspectives of parent-child communication. In T. J. Socha & G. H. Stamp (Eds.), Parents, children, & communication: Frontiers of theory and research (pp. 43–61). Mahwah, NJ: Lawrence Erlbaum Associates.

    Esparza, S., Dimmitt, J., Moreno, M., Tovar, M., & Flores, M. (2017). Mexicans adolescents’ self-reports of parental monitoring and sexual communication for prevention of sexual risk. Journal of Pediatric Nursing, 35, 83-89. https://doi.org/10.1016/j.pedn.2017.03.007

    Fernández, A., McFarlen, M., González, R., Díaz, L., Betancourt- Díaz, E., Cintrón- Bou, F., Varas-Díaz, N., & Villaruel, A. (2017). Actitudes hacia la comunicación sexual entre padres/madres y adolescentes en Puerto Rico. Revista Puertorriqueña de Psicología, 28(1), 80-95.

    Fonner, V., Mbwambo, J., Kennedy, C., Kerrigan, D., & Sweat, M. (2020). Do sexual partners talk to each other about hiv? Exploring factors associated with HIV-related partner communication among men and women in tanzania. AIDS Behavior, 24, 891–902. https://doi.org/10.1007/s10461-019-02550-4

    Francis, D. B., Zelaya, C. M., Fortune, D. A., & Noar, S. M. (2019). Black college women’s interpersonal communication in response to a sexual health intervention: A mixed methods study. Health communication, 1-9. https://doi.org/10.1080/10410236.2019.1673949

    Francis, D., Noar, S., Fortune, D., & Adimora, A. (2018). “Be straight up and so will he”: Evaluation of a novel HIV prevention condom distribution and health communication intervention targeting young african american females. AIDS Education and Prevention, 30(2), 137-151. https://doi.org/10.1521/aeap.2018.30.2.137

    Gabbidon, K., Shaw-Ridley, M., & George, F. (2017). Relationship between culture and parent-teen sexuality conversations in black families. Californian Journal of Health Promotion, 15(2), 13-26. https://doi.org/10.32398/cjhp.v15i2.1896

    Gause, N.K., Brown, J.L., Welge, J., & Northern, N. (2018). Meta-analyses of HIV prevention interventions targeting improved partner communication: effects on partner communication and condom use frequency outcomes. Journal of Behavioral Medicine, 41, 423–440. https://doi.org/10.1007/s10865-018-9916-9

    González,V., Orcasita, L., Carrillo, J., & Palma-García, D. (2017). Comunicación Familiar y toma de decisiones entre ascendientes y adolescentes. Revista Latinoamericana de Ciencias Sociales, 15(1), 419-430.

    Guevara-Sotelo, Y. & Hoyos-Hernández, P.A. (2018). Vivir con VIH: experiencias de estigma sentido en personas con VIH. Psicogente, 21(39), 127-139. http://doi.org/10.17081/psico.21.39.2827

    Harris, A. (2016). African american parent-son sexual communication among a college sample. Journal of Pediatric Nursing, 31, 199-206. https://doi.org/10.1016/j.pedn.2015.12.006

    Hinojosa, G. (2008). El tratamiento estadístico de las redes semánticas naturales. Revista Internacional de Ciencias Sociales y Humanidades, SOCIOTAM, 13(1), 133-154.

    Iglesias-García, M., Urbano-Contreras, A., & Martínez-González, R. (2019). Escala de Comunicación Autopercibida en la Relación de Pareja (CARP). Anales de Psicología, 35 (2), 314-322. https://doi.org/10.6018/analesps.35.2.334451

    Jones, A., Robinson, W., & Seedall, R. (2017). The Role of Sexual Communication in Couples’ Sexual Outcomes: A Dyadic Path Analysis.

    Journal of Mariral and Family Therapy, 44 (4), 606-623. https://doi.org/https://doi.org/10.1111/jmft.12282

    Kerlinger, F., & Lee, H. (2002). Investigación del comportamiento. Métodos de investigación en ciencias sociales. México: McGraw Hill.

    Leonhardt, N., Willoughby, B., Busby, D., Yorgason, J., & Holmes, E. (2018). The significance of the female orgasm: A nationally representative, dyadic study of newlyweds’ orgasm experience. The Journal of Sexual Medicine, 15 (8), 1140-1148.

    https://doi.org/10.1016/j.jsxm.2018.05.018

    Li, Y., & Samp, J. A. (2019). Sexual relationship power, safer sexual communication, and condom use: A comparison of heterosexual young men and women. Western Journal of Communication, 83 (1), 58-74. https://doi.org/10.1080/10570314.2017.1398835

    Lloret-Segura, S., Ferreres-Traver, A., Hernández-Baeza, A., y Tomás-Marco, I. (2014). El análisis factorial exploratorio de los ítems: una guía práctica, revisada y actualizada. Anales de Psicología, 30(3), 1151-1169.

    Longmire-Avital, B. (2019). "I asked for the papers": How emerging adult black women request sexual health information. Journal of Black Sexuality and Relationships, 6(1), 29-48. https://10.1353/bsr.2019.0014

    López-Olmos, J. (2018). Hijas y madres. Resultados en la comunicación de temas sexuales y reproductivos. Revista de Medicina e Investigación, 6 (2), 18-34.

    López, J. (2019). Epidemiología y control de las infecciones de transmisión sexual. Papel de las unidades de ITS. Enfermedades Infecciosas y Microbiología Clínica, 37 (1), 45-49 https://doi.org/10.1016/j.eimc.2018.10.015

    Martínez-Huertas, J. A., & Jastrzebska, O. (2019). Adaptación Española de la Escala de Comunicación Diádica Sexual. Psicología Conductual, 27 (2), 311-324.

    Martínez, M., Hernández, M. & Hernández, M. (2006). Psicometría. España: Alianza Editorial.

    Megaputri, P., Prima, P., Sari, C., & Rismayanti, I. (2019). Deceptive is effective negotiation strategies to customers for using condoms consistently. INSIST, 2(2), 93-96. http://dx.doi.org/10.23960/ins.v2i2.88

    Mengual, V. J. M., Llario, M. D. G., Arnal, R. B., & Rodríguez, I. M. D. (2016). Conductas de riesgo y actitudes relacionadas con la infección por vih/sida en HSH. International Journal of Developmental and Educational Psychology. Revista INFAD de Psicología, 3(1), 409-414. http://infad.eu/RevistaINFAD/OJS/index.php/IJODAEP/article/view/518/446

    Montero, I. & León, O. (2007). A guide for naming research studies in Psychology. International Journal of Clinical and Health Psychology, 7(3), 847-862.

    Muhwezi, W., Katahoire, A., Banura, C., Mugooha, H., Kwesiga, D., Bastien, S., & Kleep, K. (2015). Perceptions and experiences of adolescents, parents and school administrators regarding adolescents-parents communication on sexual and reproductive health issues in urban and rural Uganda. Reproductive Health, 12, 110. https://doi.org/10.1186/s12978-015-0099-3

    OMS (2019). Infecciones de Transmisión Sexual. Recuperado de: https://www.who.int/es/news-room/fact-sheets/detail/sexually-transmitted-infections(stis)#:~:text=todo%20el%20mundo.-,Cada%20d%C3%ADa%2C%20m%C3%A1s%20de%20un%20mill%C3%B3n%20de%20personas%20contraen%20una,y%20tricomoniasis%20(156%20millones).

    ONUSIDA (2020). Hoja informativa — Últimas estadísticas sobre el estado de la epidemia de sida. Recuperado de: https://www.unaids.org/es/resources/documents/2020/UNAIDS_FactSheet

    Otero-Guevara, L., Fernández-Blázquez, A., & Vazquez, F. (2017). Diagnóstico rápido de las infecciones de transmisión sexual. Enfermedades Infecciosas y Microbiología Clínica, 35 (7), 444-450. https://doi.org/10.1016/j.eimc.2017.01.004

    Parker, S. M., Clayton, J. M., Hancock, K., Walder, S., Butow, P. N., Carrick, S., Currow, D., Ghersi, D., Glare, P., Hagerty, R., & Tattersall, M. H. N. (2007). A systematic review of prognostic/end-of-life communication with adults in the advanced stages of a life-limiting illness: Patient/caregiver preferences for the content, style, and timing of information. Journal of Pain and Symptom Management, 34(1), 81-93. https://doi.org/https://doi.org/10.1016/j.jpainsymman.2006.09.035

    Pazmany, E., Bergeron, S., Verhaeghe, J., Van Oudenhove, L., & Enzlin, P. (2015). Dyadic sexual communication in pre-menopausal women with self-reported dyspareunia and their partners: Associations with sexual function, sexual distress and dyadic adjustment. The Journal of Sexual Medicine, 12(2), 516–528. https://doi.org/10.1111/jsm.12787

    Peasant, C., Montanaro, E., Kershaw, T. Parra, G., Weiss, N., Meyer, J., Murphy, J., Ritchwood, T., & Sullivan, T. (2017).. An event-level examination of successful condom negotiation strategies among young women. Journal of Health Psychology, 24(7), 898-908. https://doi.org/10.1177/1359105317690598

    Quinn-Nilas, C., Milhausen, R., Breuer, R., Bailey, J., Pavlou, M., DiClemente, R., & Wingood, G. (2015). Validation of the Sexual Communication Self-Efficacy Scale. Health Education & Behavior, 43 (2), 165-171. https://doi.org/10.1177/1090198115598986

    Rancourt, K., Flynn, M., Bergeron, S., & Rosen, N. (2017). It takes two: Sexual communication patterns and the sexual and relational adjustment of couples coping with provoked vestibulodynia. The Journal of Sexual Medicine, 14 (3), 434-443. https://doi.org/10.1016/j.jsxm.2017.01.009

    Reyes-Lagunes, I. (1993). Redes semánticas para la construcción de instrumentos. Revista de Psicología Social y Personalidad. 9 (1), 83-99.

    Rogers, A. (2017). Parent–adolescent sexual communication and adolescents’ sexual behaviors: A conceptual model and systematic review. Adolescent Research Review, 2, 293-313. https://doi.org/10.1007/s40894-016-0049-5

    Rogers, A., Padilla-Walker, L., & Hurst, J. (2020). Development and testing of parent-child sex communiaction inventory: A Multidimensional assessment tool for parent and adolescent informants. The Journal of Sex Research, 1-14. https://doi.org/10.1080/00224499.2020.1792398

    Sánchez, R., Enríquez, D. & Rosales, R. (2018). Intervención para promover habilidades de negociación del uso del condón en hombres privados de la libertad. En: M. Molero, M. Pérez-Fuentes, J. Gázquez, M. Simón, A. Barragán, A. Martos y M. Sisto. Intervención en Contextos Clínicos y de la Salud (Vol. II, pp. 291-296). España: ASUNIVEP.

    Soto, V. (2015). Infecciones de transmisión sexual: Epidemiología y prevención. Revista Experiencia en Medicina, 1 (2), 61-65.

    Struckman-Johnson, C., Anderson, P. B., & Smeaton, G. (2020). Predictors of female sexual aggression among a U.S. MTurk Sample: The protective role of sexual assertiveness. Journal of Contemporary Criminal Justice. https://doi.org/10.1177/1043986220936100

    Tuason, I. C., Bernarte, R., & Dong, F. (2017). The relationship of religion, religiosity, and parental communication in the sexual behaviors of Filipinos aged 18-25 years in the United States and the Philippines. Asian/Pacific Island Nursing Journal, 2(4), 124-132. https://doi.org/10.9741/23736658.1060

    Uribe, A., Castellanos, J., & Cabán. M. (2016). Conductas sexuales de riesgo y comunicación sobre sexualidad entre padres e hijos universitarios. Revista de Psicología Universidad de Antoquía, 8(2), 27-48. https://doi.org/10.17533/udea.rpsua.v8n2a03

    Vidal, E., & Hernández, B. (2017). Conductas sexuales de riesgos a las infecciones de transmisión sexual en adolescentes de una comunidad. Revista Habanera de Ciencias Médicas, 16(4), 625-634.

    Widyatuti, Hafilah, C., & Yuni, A. (2018). Correlation between parent-adolescent communication and adolescents' premarital sex risk. Enfermería clínica, 28 (1) 51–54. https://doi.org/10.1016/S1130-8621(18)30036-6

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